1548675671 NPI number — MRS. KARENE CIME MS, FNP-BC

Table of content: MRS. KARENE CIME MS, FNP-BC (NPI 1548675671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548675671 NPI number — MRS. KARENE CIME MS, FNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CIME
Provider First Name:
KARENE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, FNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548675671
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
60 MADISON AVE
Provider Second Line Business Mailing Address:
5TH FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10010-1600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-545-2441
Provider Business Mailing Address Fax Number:
646-935-4649

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4215 3RD AVE
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10457-4501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-294-5891
Provider Business Practice Location Address Fax Number:
718-294-2468
Provider Enumeration Date:
06/27/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  338427-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00695941 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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